{extends file="./main.tpl"}
{block name="head"}
<style>
input[placeholder], [placeholder], *[placeholder] 
{
   color:#6C6C6C !important;
}
.chkbox
{
  margin-left:0px;
}
.text-td {																	
	border: 1px solid #a6a6a6;
	width: 225px;
	height: 40px;
	border-radius: 3px;
	margin-top: 10px;
	padding-left: 10px;
	color: #6c6c6c;
	background: #fcfcfc;
	outline: none;
}
</style>
{/block}
{block name="body"}
<link href="css/register.css" rel="stylesheet" type="text/css" />
<div class="homeImage"></div>
<div class="content">
  <div class="left1">
    <div class="title3"><font size=4 color="#333333;"><b>Office Address</b></font><br /><br />
      203,Lotus&nbsp;Arcade,<br />
      Gondal&nbsp;Road,<br />
      Opp.Renault&nbsp;Showroom,<br />
      Rajkot&nbsp;-&nbsp;360002.<br />
      Gujarat,India.<br />
    </div><br /><br />
    <div class="title3">
      Email&nbsp;:&nbsp;stallion_enterprise@yahoo.com<br />
      Email&nbsp;:&nbsp;info@stallionenterprise.in<br />
      Skype&nbsp;:&nbsp;stallion_enterprise<br />
      Phone&nbsp;:&nbsp;+91~281~2463060<br />
      QQ&nbsp;:&nbsp;I665069468
    </div>
    <br /><br />
    <h2 style="margin-right:285px; font-style: normal;color: #333333;">Warehouse&nbsp;Address </h2>
    <div class="title3">
      Survey&nbsp;No&nbsp;137/1,Padavala<br />
      Kotda&nbsp;Sangani<br />
      Rajkot-360030.<br />
      Gujarat,India.
    </div>
  </div>
  <div class="right">
    <form class="register" style="margin-top:35px;" action="{$smarty.server.PHP_SELF}" method="POST" />
	    <h2>INQUIRY</h2>
	    <b>Type Of Company</b><br />
	    <table class="chkbox" cellspacing="6">
			  <tr>
				  <td class="text-td">
				  	<b>Buyer</b>&nbsp;&nbsp;<input  type="checkbox" name="typeOfCompany[]" value="buyer" /><br />
				    <b>Suplier</b><input type="checkbox" name="typeOfCompany[]" value="suplier"/>
				  </td>
				  <td class="text-td">
				  	<b>Broker/Traders</b>&nbsp;<input type="checkbox" name="typeOfCompany[]" value="broker/Traders" /><br />
				  	<b>Comodity Group</b><input type="checkbox" name="typeOfCompany[]" value="comodityGroup"/>
				  </td>
				</tr>
			  <tr style="margin-top :30px;">
					<td class="text-td" style="margin-top:5px;">  		
				    <b>Trade Association</b>&nbsp;<input type="checkbox" name="typeOfCompany[]"  value="tradeAssociation"/><br />
				    <b>Government</b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" name="typeOfCompany[]" value="government" />
				  </td>
				  <td class="text-td" style="margin-top:5px;">
				    <b>Media</b>&nbsp;&nbsp;<input type="checkbox" name="typeOfCompany[]" value="media" /><br />
				    <b>Others</b><input type="checkbox" name="typeOfCompany[]" value="others"/>
				  </td>
			  </tr>
			</table>
			<table  cellspacing="2" cellpadding="1">
			  <tr>
			    <td><input type="text" class="text-field" name="name" placeholder="Name" autofocus required=required /></td>
	        <td><input type="text" class="text-field" name="address" placeholder="Address" /></td>
	      </tr>
	      <tr>
	        <td><input type="text" class="text-field" name="country" placeholder="Country" /></td>
          <td><input type="text" class="text-field" name="phoneNo" placeholder="Phone" /></td>
        </tr>
        <tr>
          <td><input type="email" class="text-field" name="email" placeholder="Email" required=required /></td>
          <td><input type="email" class="text-field" name="alternativeEmail" placeholder="Alternative Email" required=required /></td>
        </tr>
        <tr>
          <td><input type="text" class="text-field" name="referedBy" placeholder="Refered By" required=required /></td>
          <td><input type="text" class="text-field" name="web" placeholder="Web" /></td>
        </tr>
        <tr>
          <td colspan="2"><input type="submit" value="Submit" class="button" name="submit" /></td>
        </tr>
      </table>
    </form>
  </div>
</div>
{/block}